Individual provider Active NPI

Sommer Bognar, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1235725169
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904012562 Issued in VA
Practice address
12800 W Creek Pkwy
Richmond, VA 23238-1116
Phone
(804) 784-6488
NPI assigned
Dec 15, 2020
Last updated
Dec 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904012562 VA Primary

Addresses

Primary practice location

12800 W Creek Pkwy
Richmond, VA 23238-1116

Mailing address

12800 W Creek Pkwy
Richmond, VA 23238-1116
Phone (804) 784-6488

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sommer.bognar@hallmarksystems.com Direct Hallmark Youthcare Richmond

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210929002004 VA Practitioner - Clinical Social Worker 9234536509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zoe Therapy Services, LLCGroup PAC ID 2769603901, 31 clinicians

Practice addresses (Care Compare)

2808 Fox Chase LN
Midlothian, VA 23112-4008
Phone (804) 303-9622

4191 Innslake Dr
Suite 211
Glen Allen, VA 23060-3324
Phone 8043039622104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zoe Therapy Services, LLC Clinical CurrentSince Aug 1, 2021 Accepting new patients
Zoestyle Medicine PastSince Sep 25, 2022 Accepting new patients

Locations

4191 Innslake Dr
Ste 211
Glen Allen, VA 23060
Phone (804) 303-9622

2808 Fox Chase Ln
Midlothian, VA 23112
Phone (804) 303-9622

2201 Libbie Ave
Ste 200
Richmond, VA 23230
Phone (804) 303-9622

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1235725169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 W CREEK PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232381116",
            "telephone_number": "804-784-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 W CREEK PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232381116",
            "telephone_number": "804-784-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGNAR",
        "first_name": "SOMMER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sommer.bognar@hallmarksystems.com",
            "affiliation": "Y",
            "affiliationName": "Hallmark Youthcare Richmond",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12800 W Creek Pkwy",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232381116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.